Advances in the Diagnosis of Human Strongyloidiasis
Autor: | Jose Muñoz Gutiérrez, Zeno Bisoffi, Ana Requena-Méndez, Dora Buonfrate |
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Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
biology business.industry Research context Intestinal parasitic infection MOLECULAR BIOLOGY METHODS medicine.disease biology.organism_classification Treatment efficacy Serology Infectious Diseases Strongyloidiasis Strongyloides Immunology medicine Immunology and Allergy Disseminated disease business Intensive care medicine |
Zdroj: | Current Tropical Medicine Reports. 1:207-215 |
ISSN: | 2196-3045 |
Popis: | Strongyloidiasis is an intestinal parasitic infection that is particularly relevant in immunosuppressed patients because it can cause severe disseminated disease. This review discusses the recent advances in the diagnosis of strongyloidiasis. We suggest clinical and epidemiologic criteria for the diagnosis and screening of strongyloidiasis, taking into account different epidemiologic contexts. The state of the art of the diagnosis of strongyloidiasis is discussed including parasitologic methods that are commonly used despite having low sensitivity; serology, which has demonstrated better sensitivity (with some exceptions such as travelers or immunosuppressed patients), and molecular biology methods, which have virtually 100 % specificity. Finally, we discuss different strategies to follow up patients after treatment, highlighting the importance of having accurate and reliable follow-up markers when assessing treatment efficacy both in a clinical and research context. |
Databáze: | OpenAIRE |
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